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HB 466

Medicaid; expand eligibility to include individuals entitled to benefits under federal Patient Protection and Affordable Care Act.

2025 Regular Session Introduced by Omeria Scott

HB 466 would expand Mississippi Medicaid eligibility to match ACA standards, potentially covering thousands more low-income residents but requiring significant state budget commitment.

Died In Committee
#appropriationsa #medicaid
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Bill Summary · HB 466

Legislative bill overview

HB 466 proposes expanding Mississippi's Medicaid program to cover individuals who are eligible for benefits under the federal Affordable Care Act (ACA). This would align Mississippi's Medicaid eligibility with the ACA's expansion criteria, extending coverage to more low-income residents. The bill was referred to the Medicaid and Appropriations committees but died in committee on February 4, 2025.

Why is this important

Currently, Mississippi has not adopted the ACA's Medicaid expansion, leaving a coverage gap for working-age adults without dependents earning between 100-138% of the federal poverty line. Expanding Medicaid eligibility would potentially cover thousands of uninsured Mississippi residents and could reduce uncompensated care costs for hospitals. However, it would also require significant state budget commitments and represents a policy shift on a highly debated issue.

Potential points of contention

  • State budget impact: Medicaid expansion requires ongoing state funding contributions, which could strain Mississippi's budget or require reallocation from other programs
  • Political ideology: Medicaid expansion remains contentious, with opponents viewing it as government overreach and supporters seeing it as essential healthcare access
  • Federal funding dependency: Long-term reliance on federal matching funds creates uncertainty if federal policy changes or funding levels decrease

Compiled from official sources — confirm details with the bill’s official record.

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